Individual provider Active NPI

Rolando Luis Chong, MHT2

  • Home Health Aide
  • Salem, OR
National Provider Identifier
1124665914
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
843689354 Issued in OR
Practice address
326 Carnelia St SE
Salem, OR 97306-2077
Phone
(503) 581-2418
NPI assigned
Nov 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 843689354 OR Primary

Addresses

Primary practice location

326 Carnelia St SE
Salem, OR 97306-2077

Mailing address

326 Carnelia St SE
Salem, OR 97306-2077
Phone (503) 581-2418

Other identifiers 1

IdentifierTypeStateIssuer
519207OtherOROREGON HEALTH AUTHORITY

Other names 1

  • Mrs. Mercedes Chong Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lamnl_1001@hotmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
843689354ORMDHome Health Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1124665914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 CARNELIA ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973062077",
            "telephone_number": "503-581-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 CARNELIA ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973062077",
            "telephone_number": "503-581-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "ROLANDO",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "MHT2",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-29",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OR",
            "license": "843689354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON HEALTH AUTHORITY",
            "identifier": "519207",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lamnl_1001@hotmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "326 Carnelia St SE",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973062077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MERCEDES",
            "last_name": "CHONG",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.